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ORIGINAL ARTICLE The Journal of Nursing Research h VOL. 00, NO.

0, MONTH 2017

Reliability and Validity of the Turkish Version


of the Job Performance Scale Instrument
Arzu Kader Harmanci Seren1 & Rujnan Tuna2* & Feride Eskin Bacaksiz3

The job performance of nurses is a multidimensional


ABSTRACT concept (Bakker, Demerouti, & Euwema, 2005; Coleman
Background: Objective measurement of the job performance & Borman, 2000; Griffin, Neal, & Parker, 2007). In academic
of nursing staff using valid and reliable instruments is important studies, nurse performance is usually approached as two
in the evaluation of healthcare quality. A current, valid, and components, namely, task performance and contextual
reliable instrument that specifically measures the performance performance (Bakker et al., 2005; Borman & Motowidlo,
of nurses is required for this purpose. 1993; Coleman & Borman, 2000). Task performance in-
Purpose: The aim of this study was to determine the validity and cludes the roles of employees within an organization in terms
reliability of the Turkish version of the Job Performance Instrument. of their main jobs and tasks (Coleman & Borman, 2000) and
activities that support the main functions of healthcare
Methods: This study used a methodological design and a institutions (mostly hospitals) and contribute to the achieve-
sample of 240 nurses working at different units in four hospitals
ment of primary targets, with their content usually revealed
in Istanbul, Turkey. A descriptive data form, the Job Perfor-
mance Scale, and the Employee Performance Scale were used
through business analyses (Borman & Motowidlo, 1993).
to collect data. Data were analyzed using IBM SPSS Statistics The second component, contextual performance, is stated as
Version 21.0 and LISREL Version 8.51. an employee’s willingness to help colleagues, ability to
achieve collaboratively, and willingness to exert extra effort
Results: On the basis of the data analysis, the instrument
to complete the work (Coleman & Borman, 2000).
was revised. Some items were deleted, and subscales were
Although nurse performance has a significant impact
combined.
on the delivery of qualified healthcare services, only a few
Conclusions/Implications for Practice: The Turkish version instruments have been developed for use in this field. The
of the Job Performance Instrument was determined to be most commonly known are the ‘‘Schwirian Six-D Scale’’
valid and reliable to measure the performance of nurses. The (Schwirian, 1978) and the ‘‘Slater Nursing Competencies
instrument is suitable for evaluating current nursing roles.
Rating Scale’’ (Wandelt & Stewart Slater, 1975). Both were
developed in the 1960s and 1970s (Redfern & Norman,
KEY WORDS: 1990; Wandelt & Phaneuf, 1972). These instruments have
contextual performance, job performance, nurses, reliability
and validity, task performance.
largely met the need to evaluate nurse performance for many
years. However, the role of nurses within the health system
today has expanded, the delivery of qualified healthcare
services continues to grow in importance, and new concepts
Introduction such as the satisfaction with and expectations of patients and
Nursing care affects the quality of healthcare that is provided healthy individuals regarding healthcare services have come
to patients in the acute care setting. Technical knowledge and into play. Evaluation of the performance levels of nurses
skills, experience, educational level, and efficiency of ser- who play main roles in the delivery of healthcare services is
vice provision, that is, nursing ‘‘performance,’’ play a very of critical importance. In light of all these developments and
important role in achieving desired healthcare outcomes changes, new methods and instruments to evaluate the job
(Whyte, Lugton, & Fawcett, 2000). performance of nurses are required (Hamilton et al., 2007;
Healthcare services are complex and provided by a multi- Pelletier et al., 2000). Although healthcare institutions have
disciplinary team. Nurses play critical roles within a patient their own performance scales to conduct this evaluation,
care team in terms of both their number and the services there is no valid and reliable performance scale for
that they provide. Nurses spend most of their time with measuring the performance of nurses in Turkey.
patients and their relatives and affect health outcomes
directly through nursing care (DeLucia, Ott, & Palmieri,
1
2009; Larrabee et al., 2004; Pappas, 2008). To realize this PhD, RN, Assistant Professor, Florence Nightingale Faculty of Nursing,
Department of Nursing Administration, Istanbul University, Istanbul,
positive effect and achieve expected outcomes, nurses should Turkey & 2PhD, RN, Research Assistant, Faculty of Health Sciences,
perform competently, and managers should evaluate their Department of Nursing, Istanbul Medeniyet University, Istanbul,
Turkey & 3PhD, RN, Research Assistant, Florence Nightingale Faculty of
performance (Behrenbeck, Timm, Griebenow, & Demmer, Nursing, Department of Nursing, Administration, Istanbul University,
2005; Gregg, 2002). Istanbul, Turkey.

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The Journal of Nursing Research Arzu Kader Harmancı Seren et al.

In this study, all of the abovementioned scales that had been social support (six items), and technical care (five items),
developed for the purpose of measuring nurses’ performance respectively, with a total of 23 items. The Cronbach’s alpha
were evaluated in terms of their validity and reliability. The internal consistency coefficients of this scale and its subscales
Turkish adaptation of the scale that was developed by vary between .85 and .94. The CPS consists of the four sub-
Greenslade and Jimmieson (2007) was preferred, as it was scales of interpersonal support (six items), job task support
developed after 2000 and seemed to more effectively ad- (six items), compliance (three items), and volunteering for
dress the concepts currently used in the field of nursing care. additional duties (four items), respectively, with a total of
18 items. The Cronbach’s alpha internal consistency co-
efficients of the scale and its subscales vary between .80 and
Methods .90. For this scale, which was developed as a 7-point Likert-
type scale, each statement is scored between 1 and 7 points,
Design with a higher item total mean score associated with better
A cross-sectional and methodological study design was used performance on that item (Greenslade & Jimmieson, 2007).
for the purposes of adapting the Job Performance Scale (JPS)
into Turkish and evaluating its psychometric properties. Employee performance scale
The EPS, which is widely used to assess criterion validity,
was developed by Erdoğan (2011). The employee perfor-
Sample mance subscale consists of seven items, and the Cronbach’s
The sample consisted of 240 volunteers, all of whom were alpha for the EPS was .94 in the current study. Statements
nurses working at four hospitals (a public hospital, a in the 5-point Likert-type scale are scored on a spectrum
public university hospital, a private hospital, and a private between ‘‘absolutely disagree’’ (1 point) and ‘‘absolutely
university hospital) in Istanbul, Turkey. agree’’ (5 points), with higher total mean scores for an item
associated with better performance on that item.

Data Collection
Data were collected at the hospitals between March and Procedures
June 2015. A descriptive data collection form, the JPS, and
No universal agreement exists regarding adaptation of an
the Employee Performance Scale (EPS), which was used to
instrument for use in a different cultural setting (Gjersing,
show criterion validity, were used for data collection.
Caplehorn, & Clausen, 2010). Different numbers of
similar steps in terms of context have been suggested for
Descriptive data collection form
scale adaptation studies (Borsa, Damásio, & Bandeira,
This form consists of seven questions regarding the 2012; Gjersing et al., 2010). This study adopted the steps
respondent’s age, gender, educational level, unit position, that were suggested by Gjersing et al. (2010) for scale
and tenure both in the hospital and the nursing profession. adaptation studies (Table 1).
Job performance scale
The original version of the JPS, developed by Greenslade and
Jimmieson (2007), was based on the job performance model
Data Analysis
of Borman and Motowidlo (1993) and intended to measure The obtained data were analyzed using IBM SPSS
the performance of nurses. Greenslade and Jimmieson aimed Statistics Version 21 (IBM Inc., Armonk, NY, USA) and
to develop a performance scale to be used on nurses and LISREL Version 8.51 (Scientific Software International,
based it on a structure that approached the job performance Skokie, IL, USA). Descriptive statistics (number, percent-
concept of Borman and Motowidlo as two different domains: age, mean, standard deviation), correlations (Pearson productY
task performance and contextual performance. In the JPS, moment correlation), and psychometric tests (content validity
task performance is an aspect of performance that directly ratio, itemYtotal correlation, KaiserYMeyerYOlkin [KMO]
contributes to the organization’s technical competence and is measure of adequacy and Bartlett’s test of sphericity, explor-
related to the employee’s work, whereas contextual perfor- atory factor analysis [EFA], and confirmatory factor analysis
mance is examined as a performance aspect that expands the [CFA], internal consistency coefficient) were used for the
organization’s social environment and impact and includes data analysis.
the employee’s voluntary behaviors (Borman & Motowidlo,
1993). The original scale for which the authors determined
the items according to focus group interviews consists of two Ethical Consideration
subscales. The first of these subscales is the Task Perfor- The permission of the researchers who developed the original
mance Scale (TPS), and the second is the Contextual Per- scale was received via e-mail. Ethics committee approval was
formance Scale (CPS). The TPS consists of the four subscales received with the Decision no. A.07 dated January 6, 2015,
of information (seven items), coordination of care (five items), from the ethics committee of a university in Istanbul. Approvals

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The Turkish Version of Job Performance Scale VOL. 00, NO. 0, MONTH 2017

TABLE 1.
The Study Procedures According to BA Suggested Cross-Cultural Adaptations
Process[ by Gjersing et al. (2010)
Suggested Performed

Adaptation process
Investigation of conceptual and item equivalence Literature review
Discussion with experts in the field and members of target population
Original instrument translated Two independent translators
Fluent in Turkish and good understanding of English
A synthesized translated version One academician
Good command of both languages
Back-translations Two independent translators
Fluent in Turkish and good understanding of English
A synthesized back-translated version One academician
Good command of both languages
Expert committee 12 experts
In the area of nursing and had experiences of instrument
development and adaptation
Instrument pretested 17 voluntaries
Same characteristics with target population
Revised instrument Researchers
Investigation of operational equivalence Discussions with experts in the field of nursing
Validation process
Main study 240 voluntary nurses
Exploratory and confirmatory factor analysis CFA for testing the fit of the original structure on target population
Item analyses regarding the reliability of each item
EFA for exploring the factor structure on target population
CFA for confirming the construct validity
Cronbach’s alpha for testing the internal consistency
Correlation analyses for criterion validity
Final instrument

were also received from the administrative and nursing service the target language (World Health Organization, 2008).
departments of the hospitals where the data were collected. The original scale was translated and back-translated by
four language professionals. Translated and back-translated
versions of the scales were then synthesized by two academi-
Results cians who had a good command of both Turkish and English.
Finally, the original scale and the translated version were
Participants compared by an expert committee for content validity.
The participants were mostly female (94.6%), held a The Lawshe technique was used to assess content validity
bachelor’s degree (62.1%), and worked in inpatient units (Lawshe, 1975). The prepared Turkish form was evaluated
(79.1%) as bedside nurses (85.4%). The ages of participants by 12 experts outside the research team who both worked in
varied from 19 to 52 years (mean = 31.95 years, SD = 7.55 the field of nursing and had experience with scale develop-
years), and their experience at the hospital and in the nursing ment or adaptation studies. As opinions were received from
profession ranged from 1 to 33 years (mean = 8.11 years, 12 experts, as suggested by the Lawshe technique, the con-
SD = 7.92 years) and 1 to 33 years (mean = 10.29 years, tent validity criterion was specified as .56 (Lawshe, 1975).
SD = 8.14 years), respectively. No items were omitted at this stage, as no statement received
a value below .56.
Adaptation Process A pilot study was conducted using a 17-person group
Language validity was conducted for both TPS and CPS. outside the sample group in February 2015. Respondents
This stage was based on the method recommended by the were probed for their understanding to identify potentially
World Health Organization for the adaptation of instru- confusing or misleading items. On the basis of their re-
ments that were developed in a language different from sponses, the items were finalized by the researchers and

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The Journal of Nursing Research Arzu Kader Harmancı Seren et al.

discussed with four nurse managers in terms of performance were involved in the fourth and fifth factors, and two items
evaluation. were involved in the sixth factor (Table 3).
CFA was applied again to evaluate the fit of the newly
Validation Process explored structure of the scale. When modification
The final version of the adapted scale was given to the suggestions were examined, error covariance was assigned
main sample of 240 people. between Items 8Y9 and 22Y23 in the first factor, Items
13Y14 and 16Y18 in the second factor, and Items 24Y27 in
the third factor (Figure 1). Factor loadings in the subscales
Construct Validity
were found to be Q0.64 in the first factor, Q0.66 in the
The CFA was conducted for both scales primarily to evaluate second factor, Q0.59 in the third factor, Q0.56 in the fourth
construct validity. The CFA did not confirm the factor struc- factor, Q0.36 in the fifth factor, and Q0.65 in the sixth
tures of the original scales. The realization of the recom- factor (Figure 1). Goodness-of-fit indices were calculated
mended modifications did not ensure any increase at an as # 2 = 1828.22, df = 453, root mean square error of
acceptable level in the goodness-of-fit indices; whereupon, approximation (RMSEA) = 0.09, goodness-of-fit index
an additional CFA that approached both scales as a single (GFI) = 0.91, adjusted GFI (AGFI) = 0.88, and compar-
subscale was conducted as an alternative. However, the ative fit index (CFI) = 0.95 (Table 4).
results indicated that the goodness-of-fit indices did not
improve but rather fell to lower levels (Table 2). Internal Consistency Analysis
The Cronbach’s alpha reliability coefficients of the subscales
Item Analysis that were obtained after the factor analysis and the subscales
When the itemYtotal score correlations for the total of 41 items, in the analysis that were conducted to evaluate the scale’s
including 23 in the TPS and 18 in the CPS, were examined, the total internal consistency varied between .65 and .93. The
itemYtotal score correlation coefficients for Item 7 in the TPS total score for the scale was ! = .95 (Table 3).
and Items 2, 8, 11, 16, and 17 in the CPS were found to be r G
.45. For this reason, these six items were omitted. Criterion Validity
A new EFA was then conducted that considered all of The EPS was applied on the same group simultaneously to
the items of both scales as a single item pool (principal determine the criterion validity. After testing for linearity,
component analysis/varimax rotation). At this stage, a KMO Pearson correlation analysis was applied, and positive (+),
test and Bartlett’s test of sphericity were performed, finding a moderate level (r = .617), and advanced level significant (p G
KMO value of 0.89 and a sphericity test result of # 2 = .001) correlations were determined between the total scores
7206.1 (df = 595, p G .001). The difference between the obtained from both scales.
factor load values was less than 0.10. Thus, as the EFA
results showed that three items loaded in two or more factors
simultaneously, these items were also omitted from the scale. Discussion
The factor loads of the 32 items remaining in the scale varied
between 0.50 and 0.84, and the scale items were distributed Adaptation Process
to six factors having eigenvalues above 1 and explaining
70.6% of the total variance. Nine items were involved in the Language validity
first factor, seven items were involved in the second factor, The scale adaptation studies referenced in the literature recom-
six items were involved in the third factor, four items each mend implementing practices to diminish the psycholinguistic

TABLE 2.
Goodness-of-Fit Indices for the Original Scales
Task Performance Scale Contextual Performance Scale
Test and Index Four-Factor One Factor Four-Factor One Factor

Factor loadings Q0.66 Q0.60 Q0.59 Q0.53


Chi-square/df 1993.60/226 4576.75/230 1794.30/131 3003.42/135
RMSEA 0.181 0.281 0.230 0.298
GFI 0.58 0.38 0.55 0.42
AGFI 0.49 0.25 0.41 0.26
CFI 0.71 0.51 0.65 0.44

Note. CFA = confirmatory factor analysis; df = degrees of freedom; RMSEA = root mean square error of approximation; GFI = goodness-of-fit index; AGFI =
adjusted goodness-of-fit index; CFI = comparative fit index.

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The Turkish Version of Job Performance Scale VOL. 00, NO. 0, MONTH 2017

TABLE 3.
Results of Reliability and Structural Analyses
Factor % of Explained Corrected Item Cronbach’s
Number Item n Variance Factor Loading Total Correlations Alpha

F1 8, 9, 10, 11, 12, 19, 21, 22, 23 9 38.90 0.562Y0.844 .66Y.82 .93
F2 13, 14, 15, 16, 17, 18, 20 7 11.13 0.593Y0.840 .63Y.85 .93
F3 24, 25, 26, 27, 28, 29 6 8.04 0.701Y0.836 .63Y.80 .88
F4 30, 37, 38, 41 4 4.83 0.631Y0.805 .58Y.77 .82
F5 1, 2, 4, 6 4 4.17 0.593Y0.649 .51Y.73 .79
F6 33, 35 2 3.54 0.504Y0.610 .50Y.50 .65
Total 32 70.59 0.504Y0.844 .45Y.71 .95

differences between cultures (Şencan, 2005). For this purpose, (Tavşancıl, 2014).The itemYtotal score correlations for the
the translations of the scale first from the original English into items in the scale’s Turkish form were evaluated as part
Turkish and then from Turkish back into English were of the item analysis that was conducted for this study.
conducted in this study in accordance with the method Accordingly, as the correlation values for the total of 41
recommended by the World Health Organization (2008) for items in both scales were r G .45, six items were omitted
rendering instruments into languages other than the original from the study.
language.
Third stage: exploratory factor analysis
Content validity As the CFAs did not confirm the original structure, a new
In scale development and adaptation studies, content validity EFA was carried out that considered all items of both scales,
is used to assess whether the items of a scale include the field which had been reduced to 35 items after the item analysis,
to be measured (Öner, 2008). The Turkish form prepared as a single item pool.
within this study was submitted for the opinion of experts. The literature recommends applying a KMO test and a
The content validity criterion was found to be 0.56 (Lawshe, Bartlett’s test of sphericity before performing factor
1975), and no items were omitted in this stage, as no analysis. In this study, the KMO coefficient was evaluated
statement had a criterion value below this value. as ‘‘good,’’ and the Bartlett’s test result was determined to
be significant in the advanced level (Şencan, 2005).
The literature further recommends that, if each item is
Validation Process listed under a factor, where it receives the highest factor
load value, after the EFA; however, the items receiving
First stage: confirmatory factor analysis high factor loads are evaluated under multiple factors; and
Factor analysis is the most commonly used method of the difference between the factor load values obtained by
analysis to test the construct validity of a scale. Factor anal- the same item under different factors is lower than 0.10, the
ysis is a concept that relates to how a scale accurately mea- item in question should be omitted (Büyüköztürk, 2011).
sures what (Öner, 2008). CFA was conducted in this study Item 5 in the TPS and Items 9 and 13 in the CPS of the
to test the structure of the scale. original form were omitted in this study because they
In the CFA, the various results of the GFI determine the received similar factor load values in two or more factors.
compatibility of the model. There are numerous goodness- The factor load values of the remaining 32 items of the
of-fit indices, and there is no absolute consensus as to scale varied between 0.50 and 0.84 (Table 3), and the scale
which ones should be reported (Şimşek, 2007). Chi-square/ items were distributed across six factors, which explained
degree of freedom, RMSEA, AGFI, GFI, and CFI results 70.6% of the total variance. The items in the ‘‘coordi-
were reported in this study as the most commonly used nation of care’’ subscale in the TPS of the original scale
fit indices. According to the results of the analyses, it was were combined with Items 21Y23 in the ‘‘technical care’’
determined that adaptation values did not show accept- subscale to create a new factor. This factor was called
able fit (Table 2). ‘‘coordination of care,’’ as in the original scale, because
items containing the technical aspect of care were added.
Second stage: item analysis All five items in the ‘‘social support’’ subscale of the TPS
Item analysis gives information regarding the reliability and Item 20 in the ‘‘technical care’’ subscale of the original
of each item in a scale. Therefore, if items in a scale are scale were included in the second factor. Different from the
equally weighted and independent, the correlation value original scale, this subscale was called ‘‘assisting and sup-
between each item and the total score should be high porting patients.’’ All items in the ‘‘interpersonal support’’

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The Journal of Nursing Research Arzu Kader Harmancı Seren et al.

Figure 1. CFA results for the adapted version of the nurse Job Performance Scale.
subscale in the CPS of the original scale were included in the two items from the ‘‘compliance’’ subscale, and one item from
third factor, and the name of the factor was kept the same. the ‘‘volunteering for additional duties’’ subscale were
One item from the ‘‘job task support’’ subscale of the CPS, included in the fourth factor to create a new factor structure.

TABLE 4.
Goodness-of-Fit Indices for the Adapted Version of the Scale
Scale #2 df RMSEA GFI AGFI CFI

Nurse Job Performance Scale 1828.22 453 0.094 0.91 0.88 0.95

Note. # 2 = chi-square; df = degrees of freedom; RMSEA = root mean square error of approximation; GFI = goodness-of-fit index; AGFI = adjusted
goodness-of-fit index; CFI = comparative fit index.

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The Turkish Version of Job Performance Scale VOL. 00, NO. 0, MONTH 2017

This factor was called the ‘‘compliance’’ subscale by  The number of items in the ‘‘compliance’’ subscale was
considering the compliance of the items it included. Items three in the original scale and four in the Turkish ver-
1, 2, 4, and 6 in the TPS of the original scale were added to sion. Here, the item ‘‘complying with hospital rules, reg-
the fifth factor, and the name of the subscale was kept the ulations and procedures, even when no one is watching’’
same as ‘‘information,’’ as in the original scale. Items 33 was omitted. In the original structure, the item ‘‘making
and 35 in the job task support subscale in the CPS of the special arrangements for a patient’s family’’ involved in
original scale were added to the sixth factor. The name of the job task support subscale of the original structure
the subscale was kept as ‘‘job task support,’’ as in the orig- and the item ‘‘making innovative suggestions to im-
inal scale. prove the overall quality of the department’’ under the
It appears meaningful to emphasize the following points subscale of volunteering for additional duties were in-
concerning the revised structure: volved in the ‘‘compliance’’ subscale in the new ver-
 The structure in TPS and CPS was preserved, although sion. Apparently, the matters of improving the related
the items located in the subscales of both scales were department and the making of special adjustments re-
moved to other subscales. For instance, the item ‘‘as- lated to patient relatives by the sample in the Turkish
sisting patients with activities of daily living (e.g., show- structure were related to embracement to hospital, that
ering, toileting, and feeding)’’ in the ‘‘technical care’’ is, the institution.
subscale of the TPS in the original structure was also  In the new structure, only the items ‘‘making special
involved in the TPS in the Turkish version. However, arrangements for the patient’’ and Wtaking extra time
the subscale in which it was involved changed and was to respond to a patient’s needs’’ remained under the
moved to the ‘‘social supportW subscale. subscale of ‘‘job task support.’’ The remaining three
 Four of the five items in the subscale ‘‘technical care’’ of items were omitted. The item ‘‘making special arrange-
the original structure were involved in the subscale of ments for a patient’s family’’ in the subscale of job task
‘‘coordination of care,’’ as in the Turkish version. This support and the item ‘‘making innovative suggestions
condition may lead us to interpret that the nurses in to improve the overall quality of the department’’ in
Turkey evaluated planning, implementation, and tech- the subscale of volunteering for additional duties in the
nical activities in the context of nursing care as a whole. original structure were involved in the subscale of
 The item ‘‘assisting patients with activities of daily ‘‘compliance’’ in the new version. This result is likely
living (e.g., showering, toileting and feeding)’’ in the associated with reasons such as intense and long work-
‘‘technical care’’ subscale of the original structure was ing hours and the care of excessive numbers of patients
moved to the social support subscale in the Turkish by a limited number of nurses. In addition to density of
version. Despite the fact that assisting patients to carry the current work of nurses, these items, including extra
out daily life activities is a part of nursing care, it was behaviors expected to be realized, were omitted.
considered that the shifting of this item to the latter
scale was justified because the meaning of ‘‘assist’’ in
Turkish is very close to the meaning of ‘‘support.’’ Fourth stage: confirmatory factor analysis
 No change took place in the ‘‘interpersonal support’’ Assigning an error covariance between items in line with
subscale that involved items pertaining to the com- modification suggestions is a method that has often been
munication and collaboration between the nurses in applied in the literature. However, higher values for error
both the original and new structures. This may be due covariance signify that a model is less confirmative, although it
to the opinion that cooperation and support among does not invalidate the established model’s validity. What is
nurses were realized in the Turkish sample because of important here is that the theoretical rationales for the as-
their feeling of being professional colleagues. signed covariances are very explicitly ascribed (Şimşek, 2007).
 Three of the seven items on the ‘‘information’’ sub- Five covariance assignments were conducted between the
scale in the original scale were omitted in the Turkish items that affected the model’s structure significantly and had
version, with four retained. The items on informing theoretically similar meanings in this study (Figure 1). The
the patient and the family about discharge and out-of- first two items were ‘‘explaining to nurses in the unit the
hospital processes were preserved in the new version. nature of the patient’s condition’’ and ‘‘reporting the crit-
However, it is remarkable that the items regarding ical elements of patients’ situations when turning over
care and treatment interventions administered during work shift’’ in the subscale ‘‘coordination of care.’’ As both
admission as well as the symptoms were not kept in items were related to patients’ clinical conditions, they were
the new version. In Turkey, physicians play the prim- perceived similarly. The second two items were ‘‘showing
ary role in sharing information with the patients about care and concern to families’’ and ‘‘listening to families’
admission procedures. Moreover, physicians tend to concerns’’ in the subscale ‘‘assisting and supporting pa-
share information on symptoms, side effects, treatment, tients.’’ The sample evaluated these two items as being close
and care with the patients and their relatives together, in meaning in both English and Turkish and thus
rather than only with the patient (Atıcı, 2007). interpreted them as related to care provided by the patient’s

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The Journal of Nursing Research Arzu Kader Harmancı Seren et al.

family. The third two items were ‘‘listening to patients’ linear correlation. A correlation that was positive, strong
concerns’’ and ‘‘showing care and concern to patients’’ in the to moderate, and statistically significant was determined
subscale ‘‘assisting and supporting patients.’’ The concept of between the measurements obtained from the two scales in
‘‘concern’’ stood out in both items, with participants per- the analysis.
ceiving the items as having similar meanings. The fourth two
items were ‘‘administering medications and treatments’’ and Conclusions and Recommendations
‘‘evaluating the effectiveness of nursing care’’ in the subscale
The scale that was developed by Greenslade and
‘‘coordination of care.’’ Because nurses in Turkey do not
Jimmieson (2007) following the structure of Borman and
consider the administration of medication and treatments as
Motowidlo (1993), which approaches job performance as
separate from nursing care, these two items were evaluated
the two distinct domains of task performance and
similarly by the sample. The last two items were ‘‘raising
contextual performance, was not structurally valid in the
morale of other nurses in the unit’’ and ‘‘taking time to meet
Turkish context. The revised structure that was developed
unit nurses’ emotional needs’’ in the subscale ‘‘interpersonal
in this study, which used six subscales that related directly
support.’’ These two items were related to emotional support
to performance with 32 items, was found to be a valid and
between nurses. Therefore, the study sample perceived both
reliable structure for a Turkish version of the scale.
items similarly.
The scope of the original English version of the scale
After the corrections made during the CFA, the model
seems to be a sufficient instrument for measuring the per-
showed a normal fit according to Şimşek (2007) in terms
formance of nurses. However, the authors recommend test-
of CFI and acceptable fit in terms of # 2/df, RMSEA, GFI,
ing scales in terms of validity and reliability before applying
and AGFI (Table 4).
them in different cultures by considering that their structure
is affected by intercultural differences.
Fifth stage: internal consistency analysis
Cronbach’s alpha analyses are used in scale development Limitation
studies to test the internal consistency of items using Likert In conducting reliability analyses, a testYretest to show the
scales (Polit & Beck, 2012). Coefficients that score scale’s reliability over time was not conducted.
between .80 and 1.00 indicate that the related scale has a
high reliability (Tavşancıl, 2014). The Cronbach’s alpha
reliability coefficient of the JPS in its internal consistency
analysis was found to be .95 for the full scale (Table 3), Acknowledgments
showing that the scale items had a high internal consis- We would like to thank the nurses who participated in
tency and internal reliability. In addition, the Cronbach’s the study.
alpha reliability coefficients were highly reliable for the
first four subscales and were reliable for the fifth and sixth Accepted for publication: May 15, 2016
subscales (Table 3). *Address correspondence to: Rujnan Tuna, PhD, RN, Faculty of Health
Sciences, Department of Nursing, Unalan Mahallesi, Unalan Sokak,
D-100 Karayolu Yanyol, 34700 Uskudar/Istanbul, Turkey.
Sixth stage: criterion validity Tel: +90 2162803153; E-mail: rujnantuna@yahoo.com
This method, which is generally used in scale development The author declares no conflicts of interest.
studies and is also known as equivalent form reliability, is Cite this article as:
based on examining the results, obtained by applying a Harmanci Seren, A., Tuna, R., & Eskin Bacaksiz, F. (2017).
scale that is developed in two forms and with equivalent Reliability and validity of the turkish version of the job performance
scale instrument. The Journal of Nursing Research, 00(0), 00Y00.
qualities to the same group incessantly at the same time, or doi:10.1097/jnr.0000000000000213
intermittently at two different times, using Pearson corre-
lation analysis (Gözüm & Aksayan, 2002). However, as
developing equivalent test forms is difficult for cases in
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The Turkish Version of Job Performance Scale VOL. 00, NO. 0, MONTH 2017

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